超声弹性成像与常规超声在甲状腺良恶性结节鉴别中应用价值.docVIP

超声弹性成像与常规超声在甲状腺良恶性结节鉴别中应用价值 　　[摘要] 目的 探讨超声弹性成像与常规超声在甲状腺良、恶性结节鉴别中的应用价值。 方法 选取2014年5月1日～2015年7月1日本院收治的64例甲状腺结节性病变患者作为研究对象，采用弹性成像检查和常规超声检查，比较两种检查方法的灵敏度和特异度。 结果 超声弹性成像对甲状腺结节良、恶性诊断的灵敏度为86.36%，特异度为89.28%，准确率为88.46%；常规超声成像对甲状腺结节良、恶性诊断的灵敏度为63.63%，特异度为78.57%，准确率为74.35%。两种检查方法的灵敏度、特异度以及准确率比较，差异有统计学意义（P0.05）。 结论 超声弹性成像能够准确地鉴别诊断甲状腺结节的性质，可以弥补常规超声的不足，更清晰地显示病灶，同时具有较高的灵敏度和准确率，能够为患者的早期诊断、治疗方案及预后提供有价值的信息。 　　[关键词] 超声弹性成像；常规超声；甲状腺结节；诊断 　　[中图分类号] R581.9 [文献标识码] A [文章编号] 1674-4721（2016）01（c）-0058-03 　　[Abstract] Objective To explore the application value of ultrasound elastography and conventional ultrasound in the identifying of benign or malignant thyroid nodule. Methods 64 thyroid nodules lesion patients from 1 May 2014 to 1 July 2015 in our hospital were selected as the research group，all patients were used ultrasound elastography and conventional ultrasound.The sensitivity and specificity of two examinations was compared respectively. Results The sensitivity of ultrasound elastography for identifying benign or malignant thyroid nodules was 86.36%，the specificity was 89.28% and the accuracy rate was 88.46%.The sensitivity of conventional ultrasound for identifying benign or malignant thyroid nodules was 66.36%，the specificity was 78.57% and the accuracy rate was 74.35%.There was significant difference in the sensitivity，specificity and accuracy rate between two examination methods （P0.05）. Conclusion Ultrasound elastography can accurate identify and diagnose the nature of thyroid nodules，can make up for the shortcoming of conventional ultrasound and then can more clearly show the disease focus，at the same time，which has higher sensitivity and accuracy rate that can provide valuable information for patients′early diagnosis，therapy method and prognosis. 　　[Key words] Ultrasound elastography；Conventional ultrasound；Thyroid nodule；Diagnosis 　　甲状腺结节一般是指甲状腺内部的肿块，可随吞咽动作而上下移动，是临床常见的病症，可由多种病因引起[1]。临床上有多种甲状腺疾病都可以表现为结节，如甲状腺炎症、退行性变、自身免疫以及新生物等[2]。甲状腺结节可单发，也可多发。据统计，多发结节较单发结节的发病率高，但单发结节甲状腺癌的